中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
18期
10-11,12
,共3页
颅内血管支架成形术%缺血性脑血管病%疗效
顱內血管支架成形術%缺血性腦血管病%療效
로내혈관지가성형술%결혈성뇌혈관병%료효
Intracranial stent plasty%Ischemic cerebrovascular disease%The curative effect
目的:探讨颅内血管支架成形术治疗缺血性脑血管病的效果。方法:选取笔者所在医院2008年1月-2012年1月收治的36例缺血性脑血管疾病患者为研究对象,患者均接受颅内血管支架成形术治疗,术后对患者随访2年,对患者行ASPECTS评分、TCD及DSA评分,并观察患者术后并发症发生情况。结果:36例患者均顺利完成手术,与术前相比,患者术后1、3、6、12、24个月舒张末期流速、峰值流速、平均流速较术前显著减慢,而脉动指数、阻力指数则显著升高,比较差异有统计学意义(P<0.05)。与术前相比,患者术后1、3、6、12、24个月ASPECTS评分显著提高,与术前比较差异有统计学意义(P<0.05)。术后患者发生血管痉挛1例,脑出血2例,心率下降1例,血压下降1例。结论:颅内血管支架成形术能有效改善缺血性脑血管疾病患者动脉狭窄,且患者术后并发症低,安全有效。
目的:探討顱內血管支架成形術治療缺血性腦血管病的效果。方法:選取筆者所在醫院2008年1月-2012年1月收治的36例缺血性腦血管疾病患者為研究對象,患者均接受顱內血管支架成形術治療,術後對患者隨訪2年,對患者行ASPECTS評分、TCD及DSA評分,併觀察患者術後併髮癥髮生情況。結果:36例患者均順利完成手術,與術前相比,患者術後1、3、6、12、24箇月舒張末期流速、峰值流速、平均流速較術前顯著減慢,而脈動指數、阻力指數則顯著升高,比較差異有統計學意義(P<0.05)。與術前相比,患者術後1、3、6、12、24箇月ASPECTS評分顯著提高,與術前比較差異有統計學意義(P<0.05)。術後患者髮生血管痙攣1例,腦齣血2例,心率下降1例,血壓下降1例。結論:顱內血管支架成形術能有效改善缺血性腦血管疾病患者動脈狹窄,且患者術後併髮癥低,安全有效。
목적:탐토로내혈관지가성형술치료결혈성뇌혈관병적효과。방법:선취필자소재의원2008년1월-2012년1월수치적36례결혈성뇌혈관질병환자위연구대상,환자균접수로내혈관지가성형술치료,술후대환자수방2년,대환자행ASPECTS평분、TCD급DSA평분,병관찰환자술후병발증발생정황。결과:36례환자균순리완성수술,여술전상비,환자술후1、3、6、12、24개월서장말기류속、봉치류속、평균류속교술전현저감만,이맥동지수、조력지수칙현저승고,비교차이유통계학의의(P<0.05)。여술전상비,환자술후1、3、6、12、24개월ASPECTS평분현저제고,여술전비교차이유통계학의의(P<0.05)。술후환자발생혈관경련1례,뇌출혈2례,심솔하강1례,혈압하강1례。결론:로내혈관지가성형술능유효개선결혈성뇌혈관질병환자동맥협착,차환자술후병발증저,안전유효。
Objective:To study the effect of intracranial stent in the treatment of ischemic cerebrovascular disease. Method:Thirty-three cases of patients with ischemic cerebrovascular disease in the hospital from January 2008 to January 2012 were searched as the research object. The patients were treated by intracranial stent angioplasty,postoperative patients were followed up for 2 years. The ASPECTS of patients,TCD,DSA,postoperative complications of the patients were observed. Result:36 cases of patients were successfully completed surgery,postoperative patients with 1,3,6,12 and 24 months of end-diastolic velocity, peak velocity,mean velocity of preoperative were significantly slow than the preoperative,while pulsation index and drag index were increased significantly,the differences were statistically significant(P<0.05). Compared with the preoperative,postoperative patients with 1,3,6,12 and 24 months ASPECTS score increased significantly,the differences were statistically significant(P<0.05).There were vasospasm in 1 case,cerebral hemorrhage in 2 cases,heart rate decreased in 1 case, drop in blood pressure in 1 case postoperative. Conclusion:Intracranial stent plasty can effectively improve artery stenosis in patients with ischemic cerebrovascular disease,and patients with postoperative complications is low,safe and effective.